Clinical Program Development Manager

Skip to main contentWe care about your privacyBy clicking "Accept All", you agree to the storing of cookies on your device to give you the most optimal experience using our website. We may also use cookies to enhance performance, analyze site usage and to personalize your experience.Read Full Privacy MessageDeclineAccept CookiesCareers at Elevance HealthEnglishSign InClinical Program Development Manager page is loadedClinical Program Development ManagerApplylocationsOH-MASON, 4241 IRWIN SIMPSON RDGA-ATLANTA, 740 W PEACHTREE ST NWNC-DURHAM, 1960 IVY CREEK BLVD, 2ND FLMO-ST. LOUIS, 100 S 4TH STFL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000View All 6 Locationstime typeFull timeposted onPosted 6 Days Agotime left to applyEnd Date: August 28, 2026 (30+ days left to apply)job requisition idJR200388Anticipated End Date:2026-08-28Position Title:Clinical Program Development ManagerJob Description:Title: Clinical Program Development Manager Location: Mason, OHHybrid: This role requires associates to be in-office 1 - 2  days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.Be Part of an Extraordinary Team  CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health. Build the Possibilities. Make an Extraordinary Impact.The Clinical Program Development Manager is responsible for managing clinical program development for population-based clinical quality measures, including Medicare Star within a clinical area and across all lines of business. How you will make an impact:Primary duties may include, but are not limited to: Oversees vendor contracts, negotiations and service-level agreements and continuously monitors vendor performance.Ability to create workflows, prioritize work and manage multiple projects while meeting deadlinesEvaluates industry best practices, medical research and other resources to develop clinical programs and tools which facilitate and support quality, cost-effective care.Develops and implements an annual plan detailing the strategies, programs and tools to be implemented.Leads program development activities.Develops and coordinates presentations, communications and implementation for all phases of the clinical programs/tools development and implementation.Ensures all programs and tools are compliant with regulatory directives and state/federal laws and policies.Identifies system needs to implement clinical programs.Develops system requirements and ROI.Tracks program performance and results and modifies as needed.Provides leadership and guidance to associates involved in program development and implementation activities. Minimum Requirements:Requires a BA/BS in business, public health, nursing, epidemiology biostatistics, or related field and minimum of 5 years experience involving analyses of health care data and clinical program development; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences:Skilled in designing AI prompts for healthcare solutionsDemonstrated ability in improving member experience in healthcareExperience in ideation, development and implementation of Quality Medicare Star, Provider and/or CAHPS programsDemonstrated experience in program improvementExperience with vendor management preferredMedicare Part D...